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Nexus Pendidikan Kedokteran dan Kesehatan
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology
Arjuna Subject : -
Articles 102 Documents
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The Difference of the Learning Environment Perception in Introvert and Extrovert Student in the Faculty of Medicine UNS Maharani, Dewi Nur; Afifah, Zulaika Nur; Randita, Amandha Boy Timor
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 2 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: An educational institution can be said to be have a certain quality if it is able to provide an effective learning environment so that produce graduates competent doctor. Students perceptions of the learning environment is influenced by many factors, including the type of personality. A student personality type will determine the variation patterns of behavior learning. This research aimed to determine differences in perceptions of the learning environment between the two types of personality. Methods: This research was an observational analytic with cross-sectional approach. Selection of research sample was begun with a preliminary study using Eysenck Personality Inventory (EPI) questionnaire for some Medical students of UNS to know the proportion of students with introvert personality type and students with extrovert personality type. The result was 2 : 3. Population of the research was Medical Students of UNS. The sampling technique was proportional stratified random sampling. There were 276 students obtained as samples. Samples weregiven a Dundee Ready Educational Environment Measure (DREEM) questionnaire. The data obtained were analyzed with the Mann-Whitney test. Results: The results showed a significant difference between the perceptions of the learning environment of introvert and extrovert’s students (p = 0.001). Significant differences contained in the Student’s Perception of Learning subscale (SPL, p = 0.004), Student’s Academic Self-Perceptions subscale (SASP, p = 0.000), Student’s Perception of Atmosphere subscale (SPA, p = 0.003), and the Student’s Social Self Perception subscale (SSSP, p = 0.001). While, on the Student’s Perception of Teacher subscale was not found significant difference (SPT, p = 0.381). Conclusions: There was difference of learning environment perception between introvert and extrovert student of personality types. Keywords: perceptions, learning environment, personality types, medical student
The Interprofessional Education (IPE): The Community Outcomes of Health Services within Collaboration Practices in Faculty of Medicine Sebelas Maret University Toman, Kevin Pieter; Probandari, Ari Natalia; Randita, Amandha Boy Timor
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 2 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Interprofessional Education (IPE) is a collaborative practice with two or more health professions that each studying the role of each health profession to improve collaboration and quality of health care. This study aimed to determine the outcomes of interprofessional approach, medical and midwifery students, based on the public perception of the health services using community-based IPE learning method. Methods: This study was a qualitative research, conducted in Puskesmas Sangkrah in January 2016. The subject of the research were patients and their families who received medical care in Faculty of Medicine Sebelas Maret University IPE program in December 2015. The sampling technique was purposive sampling with typical type of sample. The data was taken by using the in-depth interview on the subject with the amount of data retrieval determined by saturation data. The research instrument is the researcher himself. Interview guidelines referring to instruments Attitudes Toward Health Care Teams (ATHCT) Scale were translated and modified. Data were analyzed using thematic content analysis. Results: The outcomes of health services by interprofessional education learning method in faculty of medicine sebelas maret university, it was obtained the category of comprehensive of care, continuity of care, communication between team and patient, and team collaboration. Conclusions: The community founds the outcome of health services with interprofessional education is good. Through public perception, we obtained two perceptions of interprofessional education, it was found that good health care can be obtained through the implementation of a good IPE by implementing patient-centered care and good communication among the health care team with the patients and their families, and also among members in the healthcare team.Keywords: community, interprofessional education (IPE), outcome   
Qualitative Study of Anxiety among Medical Student when Facing Objective Structured Clinical Examination (OSCE) Alghifari, Muhammad Mardhiya; ., Hartono; Randita, Amandha Boy Timor
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 2 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Student feels that OSCE is stressfull event. Objective Structured Clinical Examination (OSCE) also induces anxiety higher than any other exam. There are fears that anxiety will impact on students because it can defend their oriented task behavior. On the other hand, excessive concerns will debilitate and annoy them in the exam if they don’t manage managed it properly. This study aims to explore that anxiety problems, what are the contributing factors, and how students’s coping mechanism to deal with it. Methods: This study used a qualitative descriptive approach that wanted to describe a phenomenon occured on the subject of research. The population is an entire undergraduate Medical Student of Medical Faculty, Sebelas Maret University who have been through the OSCE. The number of samples were 32 students, that divided into four batches Focus Group Discussions and four batches interviews. This samples were taken by purposive sampling method with maximum variation sampling type. The results of FGD and interviews were analyzed by content analysis method. Results: The data found in this research were large categories of research problems included student perception about OSCE, the factors that caused OSCE anxiety, and student’s coping mechanism when faced with OSCE Conclusions: Anxiety happened to most of the student when they faced OSCE. Factors that triggered this anxiety were divided into internal and external factors. When faced with stressors such as OSCE, students would use two types of coping strategies, problem-focused coping and emotion-focused coping. Keywords: Anxiety, OSCE, Coping Mechanism, Medical Student 
The Correlation between Sensitivity of Medical Ethics and Patient Satisfaction Kusumaningtyas, Hepy Hardiyanti; Maryani, .; Hermasari, Bulan Kakanita
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: The World Health Organization (WHO) estimates that one million people worldwide suffer from disabilities and even deaths annually as a result of unsafe healthcare practices. This fact requires improving the quality of health services. The quality of these services can be reflected by patient satisfaction. Patient satisfaction is also supported by a doctor-patient relationship and it is the foundation of the medical practice and medical ethics. This study aimed to determine the association between sensitivity of medical ethics and patients satisfaction. Methods: This research was an observational analytical method with cross sectional approach. Subjects in this study were inpatients and postgraduate medical students at Dr. Moewardi Hospital. The samples of research were taken using the simple random sampling and convenience sampling technique. The data of research were analyzed using Pearson’s correlation test. Results: From the results of data analysis, correlation between sensitivity of medical ethics and patients satisfaction with p = 0.078, which means not statistically significant, but with the moderate correlation power and direction of the correlation was a positive correlation (r = 0.469). Conclusion: There is positive correlation between ethics physicians with patient satisfaction Keyword: Medical Ethics, Patient’s Satisfaction, Doctor-Patient Relationship 
The Influence of Learning Styles on Student Achievement in First Year Students of Sebelas Maret University Faculty of Medicine Abdillah, Ramadhan; Pamungkasari, Eti Poncorini; Damayanti, Kusmadewi Eka
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

ABSTRACT Background: Knowledge of learning styles is known to be useful for both teachers and students for allegedly influencing student achievement. This study aimed to determine the influence of learning styles on student achievement in first year student. Methods: This research was a comparative analytic research with cross sectional approach to the first year students of Medical Education Sebelas Maret University. There were 186 students as research subjects. Learning styles were measured using VARK questionnaire and student achievement obtained from 2nd semester GPA. Data were analyzed using Kruskal Wallis test and Mann-Whitney and continued with the spearman rank correlation test. Result: Kruskal Wallis test results showed no significant difference among the five groups of learning styles with a value of p = 0.483 (p > 0.05). Mann-Whitney test results also showed no significant differences in individual learning styles (p > 0.05). Spearman rank correlation test results showed no significant influence between learning styles and student achievement (rs < 0.20). Conclusion: There is no significant influence of learning styles on student achievement in first year students. Keyword: learning style, student achievement, VARK 
The Maturity of Lecturer’s Self Reflection as Tutor to The Paradigm of Teacher Centered Learning and Student-Centered Learning in Tutorials Burhanudin, Afif; Pamungkasari, Eti Poncorini; Timor, Amandha Boy
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: In 2007 the learning system in Faculty of Medicine of Universitas Sebelas Maret changed to Student Centered Learning, which the role of lecturer changed to tutor who facilitated student to get information. From this change, it had a paradigm shift. This research aimed to know about the difference of tutor’s self assessment between tutor with teacher centered learning paradigm and student-centered learning. Methods: This research was an obersevational research with cross sectional approach. Research was conducted on Desember 2016 at Faculty of Medicine Sebelas Maret University Surakarta. Total subject was 85 respondent using total sampling technique with inclusions and exclusions criterias. Data was computed and analyzed using Independent t-test analysis. Results: Statistical analysis was performed using Independent t-test analysis resulting p-value 0.631. The analysis from both of the variable showed p-value >0.05, hence, there is no significant difference of tutor’s self assessment between tutor with teacher centered learning paradigm and student-centered learning paradigm. Conclusions: There was no significant difference of tutor’s self assessment between tutor with teacher centered learning paradigm and student-centered learning paradigm. Keywords: Paradigm Shift, Tutor’s Self Assesment, Tutor 
Student Perceptions towards Supporting Learning Factors in Skills Lab Fawzia, Farha Naily; Probandari, Ari Natalia; Suyatmi, .
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Clinical skills competence is one of areas of competence to be achieved by graduate of medical education institutions. As an effort to achieve clinical skills competency for the students, Medical Faculty of Universitas Sebelas Maret (UNS) establishs Skills Lab. In learning clinical skills, there are various components that can support learning. Therefore this study aimed to explore students’ perceptions of the supporting learning factors in the Skills Lab. Methods: This study was a qualitative research which conducted in Medical Faculty of Universitas Sebelas Maret on October-November 2016. The study participants were the second year, third year, and fourth year students of Medical Faculty of Sebelas Maret University. The method of collecting data was by focus group discussion (FGD) and in-depth interview. The data was analyzed by content anaylis. Data validation using triangulation method, peer debriefing, and member checking. Result: There are various factors influencing on learning in Skills Lab. Several factors were found in this study was instructor, curriculum, students, modules, infrastructure, and system in Skills Lab. According to student, an instructor must have a good character, good communication and interpersonal skills, competence in science, and have the appropriate skills and methods in teaching. In supporting learning, Skills Lab and blocks curriculum should be integrated and aligned. In addition, curriculum also has to be up to date with the development of the medical world. Students themselves have an influence in creating an effective learning. Students ideally should have motivation, adequate prior knowledge, and the attitudes and behavior in both the teaching and learning activities. Modules as well as infrastructure in the Skills Lab also act as a support when such facilities are available and adequate. System in Skills Lab is equally important. Various supporting activities such as monitoring-evaluation activities, and training of instructors need to be improved. Conclusion: In the perspective of a student, there are various factors that influence learning, including the instructors, curriculum, students, modules, infrastructure, and system in the Skills Lab. Keywords: supporting learning factors, Skills Lab, skills learning 
The Improvement of Learning Competency of Skills Lab of Electrocardiography through Academic Motivation and Self-Directed Learning Readiness among Medical Student Adira, Sotya Satmaka; Kusumawati, Ratna; Poncorini, Eti
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Academic motivation is the key to generate student’s readiness to study by their own will, as it calls Self Directed Learning Readiness (SDLR). SDLR can increase students learning input, especially in this case which is the learning process of Skills Lab of Electrocardiography, which has complex learning subject and high number of failed student. This research purpose is to find the correlation of academic motivation with self directed learning readiness.   Methods: This research was a cross-sectional observational analytic. Research location was in Faculty of Medicine of Sebelas Maret University. The subjects were medical students of Sebelas Maret University class of 2012, 2013, and 2014 generation. The subjects selected by using proportional stratified random sampling method. Academic motivation was measured by Motivated Strategies for Learning Questionnaire (MSLQ) . SDLR was measured by questionnaire of Self Directed Learning Readiness for Nurse Education (SDLR-NE). The statistical analysis of obtained research data was Pearson Correlation Test. Results: Normality test showed that data of academic motivation and self directed learning readiness was normally distributed. Pearson correlation test result was 0.551 with p = 0.000 Conclusions: This research has showed the correlation between academic motivation and SDLR. Higher of academic motivation value then the SDLR in learning process of Skills Lab of Elctrocardiography value will also be higher. Keywords: Motivation, Academic Motivation, Self Directed Learning Readiness 
Competency Achievement of Community Medicine at Tutorial Discussion, Analysis Congruence Faculty Learning Objective and Achieved Learning Objective Pratama, Henry Aldezzia; Probandari, Ari Natalia; Timor Randita, Amandha Boy
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The high rate of remediation at Community Medicine Block still occur in Medical School Universitas Sebelas Maret, which has the vision and mission of producing graduates who are community oriented. On the block, the learning activities in the form of tutorial discussions, lectures support, skills lab, and field lab. Tutorial discussions can be considered as a core in the model of Problem Based Learning (PBL). In the tutorial discussions, students will look for their own learning goals, known as the Achieved Learning Outcome (ALO), while the faculty to design Faculty Learning Objective (FLO) is expected to achieve student. This study aims to determine the description of the achievement of community medical competence with the analysis FLO and ALO congruence in tutorial process. Methods: This research is descriptive qualitative research. This research was conducted at the Faculty of Medicine, Universitas Sebelas Maret Surakarta in September-November 2016. This study used a total sampling on report tutorial of the 2nd scenario of Community Medicine, as many as 20 reports. Data were collected through Examining records (checking of documents). Data analysis was performed through discourse analysis. Result: Researchers obtained 15 statements tutorial, with 11 reports softfile and 4 reports hardfile. The congruence of FLO and ALO varied on each FLO. Two FLO achieved 100% by a group tutorial, whereas in other FLO, there is group with ALO only partially met by FLO. There is 1 FLO majority is not reached. ALO about family physicians appear on the 12 of report which actually not listed in FLO. Conclusion: The achievement of FLO varies in each FLO, with also found ALO incongruent with FLO in the majority of the group tutorials. Further research on the factors that influence the achievement of FLO and other aspects of learning in the block needs to be done to determine competency achievement. Evaluation should always be done either on the side of the scenario, tutors, and students for achievement of learning objectives tutorial. Keywords: ALO, FLO, congruence, tutorial, competency
Medical Student Adaption: How the Corellation between Self Efficacy and Educational Enviroment toward Score of Objective Structured Clinical Examination (OSCE) Megawati, Yuyun Suci; Hartono, .; Randhita, Amandha Boy Timor
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: The OSCE score, as a component of students’ learning performance evaluation, is affected by external and internal factors. An example of an external factor that has an influence is the educational environment, whereas an internal factor that affects OSCE score is self-efficacy. Methods: This study was an observational analytic study, conducted at the Faculty of Medicine UNS. Samples included students of the Faculty of Medicine UNS school year 2013 and 2014. A sample of 189 students was obtained by simple random sampling, and each student was given a questionnaire on self-efficacy using General Self-Efficacy Scale (GSES). Educational environment component was measured with Dundee Ready Education Environment meassure (DREEM). Each component was later interpreted and a comparison was done between school years since they have distinct academic activities. Results: Results from the hypothesis test showed sig of 0,046 which implies a significant correlation between GSES and OSCE scores. Pearson correlation value of 0.186 indicates a weak, positive correlation. Similarly, DREEM and OSCE scores were found to be significantly correlated with sig of 0,000 and Pearson correlation value of 0.375 which also indicates a weak, positive correlation. Conclusion: There is a very weak correlation between self efficacy rate and the Objective Structured Clinical Examination (OSCE) score. Likewise, a weak correlation was also found between the educational environments and Objective Structured Clinical Examination (OSCE) score. Keywords: OSCE score, self-efficacy, educational environment 

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